鼻咽癌复发及鼻内镜外科手术的应用

姜彦

Recurrence of nasopharyngeal carcinoma and application of endoscopic surgery

Yan JIANG

图2 右侧鼻咽癌切除步骤及切除范围 A.用等离子刀沿肿瘤边界外0.2 cm切开黏膜；B.等离子切除的鼻咽部黏膜组织范围；C.切除黏膜直至骨质表面；D.磨除翼突根部骨质；E.显露右侧蝶窦、蝶骨翼突内外侧板、圆孔、翼管；F.右侧翼突内外侧板切除后；G.显露颞下区肿瘤组织；H.颞下岩尖区切除后；I.显露肿瘤全切后的鼻咽部。

Fig.2 Resection steps and resection range of right nasopharyngeal carcinoma A. Use of a plasma knife to cut the mucosa 0.2 cm outside the tumor boundary; B. Excised nasopharyngeal mucosal tissues under a plasma knife; C. Resection of the mucosa till the bone surface; D. Grinding the pterygoid process root bone; E. The right sphenoid sinus, medial and lateral plate of the pterygoid process, foramen rotundum, and vidian canal are shown; F. Resection of the right medial and lateral plate of the pterygoid process; G. The infratemporal region tumor tissue is shown; H. Resection of the subtemporal apex; I. The nasopharynx after the tumor is completely cut is shown.